Ventilator desaturation: Difference between revisions

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*Immediately disconnect from ventilator (allows for expiration of stacked breaths)
#REDIRECT[[Deterioration after intubation]]
*"DOPES like DOTTS" Mnemonic
 
Troubleshoot
**D - Displacement of tube
***Attach end-tidal CO2 to verify and check depth (cm at lip)
**O - Obstruction of tube/circuit
***Use suction catheter to remove mucus plug, or make sure pt not biting down
**P - Pneumothorax
***Verify via US
**E - Equipment failure
***Connect to BVM
**S - Stacked breaths - Auto-PEEP especially in COPD/Asthma pts
***Disconnect from ventilator
 
Fix
**Disconnect vent and put light pressure on pt chest
**Oxygen 100%
**Tube Position & Function
**Tweak Vent Settings
***Drop TV, then decrease RR, and then increase flow rate
***Caution as it causes hypercapnia and resp acidosis, which is harmful in pts with increased ICP or tox ingestion
**Sonography
 
==See Also==
*[[Ventilation (Main)]]
 
[[Category:Airway/Resus]]
[[Category:Pulm]]

Latest revision as of 10:25, 26 August 2015